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利用脑部CT扫描治疗早期阿尔茨海默病:一例报告

Treatment of Early-Stage Alzheimer's Disease With CT Scans of the Brain: A Case Report.

作者信息

Cuttler Jerry M, Lamet Maryélise S, Calabrese Edward J

机构信息

Cuttler & Associates Inc, Vaughan, ON, CA.

University of Massachusetts, Amherst, MA, USA.

出版信息

Dose Response. 2022 Mar 18;20(1):15593258221078392. doi: 10.1177/15593258221078392. eCollection 2022 Jan-Mar.

Abstract

We report the case of a patient in Massachusetts with early-stage Alzheimer's disease who was treated with low doses of ionizing radiation to the brain. He requested this treatment after reading about a patient with severe Alzheimer's in Michigan who improved remarkably after receiving 4 CT scans. After his first treatment in April 2016, mental clarity improved. His impaired conversation, reading, and sense of humor were restored, especially his virtuosic clarinet jazz-playing. However, executive function remained deficient. He requested a treatment every 2 weeks, but his neurologist denied this, fearing opposition to this treatment, a diagnostic procedure that used ionizing radiation. Limited recovery was observed after each CT scan, lasting from several weeks to months, depending on the endpoints/behavior and the periodicity. Despite the positive responses, the physician was reluctant to continue beyond 6 due to concerns about adverse effects and disapproval for prescribing them. The patient began hyperbaric oxygen therapy as an alternative. But after 43 treatments, no conclusive benefit was observed. The patient died in September 2020 at age 77. This experience suggests CT scans may have value in treating Alzheimer's patients and restoring, at least temporarily, important aspects of normal life activities. Such observations need testing and validation.

摘要

我们报告了马萨诸塞州一名早期阿尔茨海默病患者的病例,该患者接受了低剂量脑部电离辐射治疗。他在阅读了密歇根州一名重度阿尔茨海默病患者在接受4次CT扫描后显著改善的报道后,要求进行这种治疗。2016年4月他首次接受治疗后,思维清晰度有所提高。他受损的交谈、阅读能力以及幽默感都恢复了,尤其是他精湛的单簧管爵士乐演奏。然而,执行功能仍然不足。他要求每两周接受一次治疗,但他的神经科医生拒绝了,担心这种使用电离辐射的诊断性治疗会遭到反对。每次CT扫描后都观察到有限的恢复,持续时间从几周到几个月不等,这取决于观察终点/行为和周期。尽管有积极反应,但由于担心不良反应以及不赞成开具此类治疗,医生不愿在6次治疗后继续。患者开始接受高压氧治疗作为替代方案。但在进行了43次治疗后,未观察到确凿的益处。患者于2020年9月去世,享年77岁。这一经历表明CT扫描可能对治疗阿尔茨海默病患者有价值,并且至少能暂时恢复正常生活活动的重要方面。此类观察结果需要进行测试和验证。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9c64/8935565/5c5c66c5bf43/10.1177_15593258221078392-fig1.jpg

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